BDIAP Schools bursary application for lower GI symposium

Name:
Date of birth:
Gender:
Address:
Phone:
-
E-mail:
Are you in a substantive consultant post?:
Date of appointment to consultant post (if applicable):
Are you a member of the BDIAP?:
150 words on why I would benefit from a bursary:*
Head of department*
Referee 1:*
Referee 2:*
I understand that my data will be stored by the BDIAP and I may be contacted in the future by the BDIAP on matters relating to my application. This data will be stored in accordance with the BDIAP's data privacy policies and will not be released to third parties. I may request that my data is deleted at any time using the data deletion request form in the data privacy policies section of the website however I understand that my data is stored as a contractural necessity of my receipt of funding from BDIAP so that if I ask for my data to be deleted this will also mean that I am cancelling my application for this funding.